Wagnon, Christa M

Wagnon, Christa M is an individual health care provider with primary practice located at 7330 N 99Th Ave Ste 325 , Glendale AZ 85307-3022. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wagnon, Christa M can be contacted via phone (480) 840-1769.

Contact Information

Primary practice address
7330 N 99Th Ave Ste 325 Glendale AZ 85307-3022
Phone: (480) 840-1769
Fax: (480) 840-1785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-03457 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP-03457 New Mexico

Profile Details

NPI number 1508370651
LBN Legal business name Wagnon, Christa M
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2017
Last updated Jul 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508370651 NPPES
New Mexico MEDICAID 80301398

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